PA Department of Human Services (DHS) Forms

Questions? Contact Phyllis Sanford, phyllis.sanford@gmail.com.

(Right Click on links below and choose “Open Hyperlink”)

• Link for Child Abuse Form: 
  PA Child Abuse History Certification

  • Employee: fee of $13.00 (see “General” on instructions page) 

  • Print and mail these forms – online submissions have fees

• Link for Criminal History Background Check:
  PA Criminal History Background Check

  • Volunteers, click on the link for the SP 4-164A form

  • Employees: click on link for the SO 4 164 form

    • Employee: fee of $22.00

    • Employees: Submit your receipt to Phyllis Sanford and the Church will reimburse you.

  • THIS FORM CAN BE FILLED OUT ON LINE OR PRINTED AND MAILED

Results take approximately 10 days to 2 weeks.